Prescription for Profit

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Publisher : Univ of California Press
ISBN 13 : 0520911830
Total Pages : 366 pages
Book Rating : 4.5/5 (29 download)

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Book Synopsis Prescription for Profit by : Paul Jesilow

Download or read book Prescription for Profit written by Paul Jesilow and published by Univ of California Press. This book was released on 2023-09-01 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this explosive exposé of our health care system, Paul Jesilow, Henry N. Pontell, and Gilbert Geis uncover the dark side of physician practice. Using interviews with doctors and federal, state, and private officials and extensive investigation of case files, they tell the stories of doctors who profit from abortions on women who aren't pregnant, of needless surgery, overcharging for services, and excessive testing. How can doctors, recipients of a sacred trust and sworn to the Hippocratic Oath, violate Medicaid so egregiously? The authors trace patterns of abuse to the program's inauguration in the mid 1960s, when government authorities, not individual patients, were entrusted with responsibility for payments. Determining fees and regulating treatment also became the job of government agencies, thus limiting the doctors' traditional role. Physicians continue to disagree with Medicare and Medicaid policies that infringe on their autonomy and judgment. The medical profession has not accepted the gravity or extent of some members' illegal behavior, and individual doctors continue to blame violations on subordinates and patients. In the meantime, program guidelines have grown more confusing, hamstringing efforts to detect, apprehend, and prosecute Medicaid defrauders. Failure to institute a coherent policy for fraud control in the medical benefit program has allowed self-serving and greedy practitioners to violate the law with impunity. Prescription for Profit is a shocking revelation of abuse within a once-hallowed profession. It is a book that every doctor, and every patient, needs to read this year.

Prescription for Fraud

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Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Prescription for Fraud by : United States. Congress. Senate. Committee on Finance

Download or read book Prescription for Fraud written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2001 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Fraud

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781976463044
Total Pages : 360 pages
Book Rating : 4.4/5 (63 download)

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Book Synopsis Health Care Fraud by : Williamd Edward Ackerman, III

Download or read book Health Care Fraud written by Williamd Edward Ackerman, III and published by Createspace Independent Publishing Platform. This book was released on 2017-09-24 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: The medical profession and health care in general has deteriorated over the past twenty years. It has become plagued with fraudulent behaviors. It is difficult for individuals to know if they are being scammed. Fraud unfortunately exists in all aspects of health care today. In 2011, $2.27 trillion was spent on health care and more than four billion health insurance claims were processed in the United States. It is an undisputed reality that some of these health insurance claims are fraudulent. No institution has undone more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that susceptible and sick Americans place in their healthcare. No doctor wants to be identified as being out of step with medical practice norms. Furthermore, most health care providers do not want a decrease in profit margins as well. This book is about the millions of Americans who have access to what some would call the best medical care in the world but are being swindled. Of course, there are millions of uninsured Americans whose access to care is heartlessly limited. The problems of fraudulent health care described in this book are less likely to transpire to the latter group, simply because they receive less medical care. This book is about the relentless expansion of medicine and our health providers increasing tendency to only make a diagnosis so that further treatments can be done to increase their revenues. Americans have been taught to be concerned about their health. We are all aware that types of hidden jeopardies prowl inside of us. The conventional wisdom is that it's always better to know about these dangers so that something can be done. That's why we are so enthusiastic about amazing medical technologies that can detect abnormalities even when we reason we are well. That's also why we welcome the identification of risk factors, disease awareness campaigns, cancer screening, genetic testing etc. Americans love a diagnosis so that they can receive attention and health care whether or not it helps them. But it's also true that we do receive too much of it in some circumstances. Some people are diagnosed and treated needlessly by swindlers who do unnecessary or dangerous treatments to increase their profit which is one reason why this book was written. Our legislators have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life. The majority of health care frauds are committed by a very small minority of dishonest health care providers. Unfortunately, the stock in trade of fraud-doers is to take advantage of the confidence that has been entrusted to them in order to commit ongoing fraud on a very broad scale. Another reason for this book is to inform individuals that rewards can be made by reporting health care fraud by becoming a whistle blower. Health care consumers need to identify these health care fraudsters and report them to ultimately attempt to salvage what remains of our health care structure. Fighting Medicare fraud is an important part of safeguarding our healthcare for future generations. Health deception costs Americans billions of dollars. We all must do our parts to reverse this trend. If you suspect that something has happened illegally with respect to medical care, then it is your duty to blow the whistle. Doing so makes you part of the solution. This book addresses the types of fraud which plague the healthcare industry and describes the most common fraudulent behavior throughout this industry and how to report fraud and possibly receive a reward. We must all do our part in trying to save our health care system!

Prescription Fraud

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Publisher :
ISBN 13 : 9781932582338
Total Pages : 0 pages
Book Rating : 4.5/5 (823 download)

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Book Synopsis Prescription Fraud by : Julie Wartell

Download or read book Prescription Fraud written by Julie Wartell and published by . This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Describes the problem of prescription fraud in the United States. Defines pharmaceutical diversion as the illegal acquisition of prescription drugs for person use or profit. Identifies a series of questions for analyzing a local situation, and reviews police responses and what is known about those responses from evaluative research and police practice.

Prescription Fraud

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Publisher :
ISBN 13 : 9781932582338
Total Pages : 54 pages
Book Rating : 4.5/5 (823 download)

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Book Synopsis Prescription Fraud by :

Download or read book Prescription Fraud written by and published by . This book was released on with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Phantom Billing, Fake Prescriptions, and the High Cost of Medicine

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Publisher : Cornell University Press
ISBN 13 : 0801461286
Total Pages : 253 pages
Book Rating : 4.8/5 (14 download)

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Book Synopsis Phantom Billing, Fake Prescriptions, and the High Cost of Medicine by : Terry L. Leap

Download or read book Phantom Billing, Fake Prescriptions, and the High Cost of Medicine written by Terry L. Leap and published by Cornell University Press. This book was released on 2011-04-15 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation’s GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York’s Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse—the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws—Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America.

A Pharmacist's Guide to Prescription Fraud

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Author :
Publisher :
ISBN 13 :
Total Pages : 2 pages
Book Rating : 4.:/5 (818 download)

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Book Synopsis A Pharmacist's Guide to Prescription Fraud by :

Download or read book A Pharmacist's Guide to Prescription Fraud written by and published by . This book was released on 2000 with total page 2 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Prescription Fraud and Abuse, 2nd Ed

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Publisher :
ISBN 13 : 9781932582376
Total Pages : pages
Book Rating : 4.5/5 (823 download)

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Book Synopsis Prescription Fraud and Abuse, 2nd Ed by : Julie Wartell

Download or read book Prescription Fraud and Abuse, 2nd Ed written by Julie Wartell and published by . This book was released on 2013-04-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Prescription Fraud

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Publisher :
ISBN 13 :
Total Pages : 153 pages
Book Rating : 4.:/5 (932 download)

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Book Synopsis Prescription Fraud by :

Download or read book Prescription Fraud written by and published by . This book was released on 1997 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Prescription Fraud

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Publisher :
ISBN 13 :
Total Pages : 137 pages
Book Rating : 4.:/5 (563 download)

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Book Synopsis Prescription Fraud by : Great Britain. Department of Health. NHS Executive

Download or read book Prescription Fraud written by Great Britain. Department of Health. NHS Executive and published by . This book was released on 1997 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Prescription for Profit

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Author :
Publisher : University of California Presson Demand
ISBN 13 : 9780520076143
Total Pages : 247 pages
Book Rating : 4.0/5 (761 download)

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Book Synopsis Prescription for Profit by : Paul Jesilow

Download or read book Prescription for Profit written by Paul Jesilow and published by University of California Presson Demand. This book was released on 1993 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A sound, well written, and highly interesting examination of how Medicaid . . . has given far too many physicians an opportunity to 'mop up' fraudulently, for their own financial gain, some of the $61 billion annual cost of the program."--Marshall B. Clinard, author of "The Abuse of Corporate Power" "A searching analysis of a problem that is of enormous concern to every nation. It is a lively, insightful treatment of the Medicaid malady, using the best diagnostics available to contemporary criminology."--John Braithwaite, Australian National University

Medicaid Drug Fraud

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Publisher :
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medicaid Drug Fraud by : United States. General Accounting Office

Download or read book Medicaid Drug Fraud written by United States. General Accounting Office and published by . This book was released on 1993 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

A Review of Activities and Consequences Relating to Prescription Drug Fraud

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Publisher :
ISBN 13 :
Total Pages : 66 pages
Book Rating : 4.:/5 (72 download)

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Book Synopsis A Review of Activities and Consequences Relating to Prescription Drug Fraud by : Teresa Greene

Download or read book A Review of Activities and Consequences Relating to Prescription Drug Fraud written by Teresa Greene and published by . This book was released on 2011 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on a review of Medicaid Fraud Reports published between 2005 and 2009 and comparing that data with information detailed in a research project conducted in 1997, it was observed that prescription drug fraud activity committed by pharmacists has received less consideration than that given to other areas of fraud. Data that is related to overall healthcare fraud was readily available, but there was minimal data that provided definitive information with reference to the extent of pharmaceutical drug fraud committed by pharmacists and pharmacy employees. The goal of the research was to compare the historical availability of reliable data with the current availability of data to determine whether or not progress had been made in the prevention or detection of prescription fraud committed by pharmacists. The availability of data pertaining to prescription fraud committed by pharmacists was shown to be as minimal for the current research as was available for the primary research source used for comparison. Medicaid Fraud Reports were the only definitive source for prescription drug fraud committed by pharmacists. The States' Attorneys General provided the information relating to the fraud cases, but there was no consistency between the states as to the format and extent of information provided in the report. Recommendations were made that rogue pharmacists and their related fraud activity needed to be exposed. It was also determined that a specific definition of prescription drug fraud needed to be detailed in order more appropriately investigate and charge perpetrators. A suggestion was made to extend the parameters for pharmaceutical fraud research beyond the effect it has had on publicly funded insurance programs.

Medicaid Fraud--prescription Drug Diversion

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Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Medicaid Fraud--prescription Drug Diversion by : United States. Congress. House. Committee on Government Operations. Human Resources and Intergovernmental Relations Subcommittee

Download or read book Medicaid Fraud--prescription Drug Diversion written by United States. Congress. House. Committee on Government Operations. Human Resources and Intergovernmental Relations Subcommittee and published by . This book was released on 1995 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Distributed to some depository libraries in microfiche.

Prescription Fraud

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Publisher :
ISBN 13 :
Total Pages : 153 pages
Book Rating : 4.:/5 (451 download)

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Book Synopsis Prescription Fraud by :

Download or read book Prescription Fraud written by and published by . This book was released on 1997 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Prescription for Fraud: Consultants Selling Doctors Bad ..., Hearing ... S. Hrg. 107-358 ... Committee on Finance, United States Senate ... 107th

Download Prescription for Fraud: Consultants Selling Doctors Bad ..., Hearing ... S. Hrg. 107-358 ... Committee on Finance, United States Senate ... 107th PDF Online Free

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (639 download)

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Book Synopsis Prescription for Fraud: Consultants Selling Doctors Bad ..., Hearing ... S. Hrg. 107-358 ... Committee on Finance, United States Senate ... 107th by : United States. Congress. Senate. Committee on Finance

Download or read book Prescription for Fraud: Consultants Selling Doctors Bad ..., Hearing ... S. Hrg. 107-358 ... Committee on Finance, United States Senate ... 107th written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2003* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Prescription Fraud. Fraud Investigation Unit at the Prescription Pricing Authority. Improving the Security of Prescription Forms

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (563 download)

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Book Synopsis Prescription Fraud. Fraud Investigation Unit at the Prescription Pricing Authority. Improving the Security of Prescription Forms by : Great Britain. Department of Health. NHS Executive

Download or read book Prescription Fraud. Fraud Investigation Unit at the Prescription Pricing Authority. Improving the Security of Prescription Forms written by Great Britain. Department of Health. NHS Executive and published by . This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: